Organization · Type 2 NPI
Premise Health of Indiana Medical PC
Occupational Medicine Clinic/Center · Fort Wayne, IN
NPI number
1013500271
Active
Practice location
4350 Airport Expressway
Fort Wayne, IN 46509
Fax (260) 434-5413
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | None listed |
Occupational Medicine Clinic/Center: Definition to come...
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About NPI 1013500271
Premise Health of Indiana Medical PC's National Provider Identifier is 1013500271, issued on Feb 18, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 29, 2024.